Provider Demographics
NPI:1821506031
Name:SANTANA, ROSALBA YOHALINA (MD)
Entity type:Individual
Prefix:
First Name:ROSALBA
Middle Name:YOHALINA
Last Name:SANTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSALBA
Other - Middle Name:YOHALINA
Other - Last Name:SANTANA DE ROBERTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:435 SOUTH ST STE 330
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6472
Practice Address - Country:US
Practice Address - Phone:973-593-2482
Practice Address - Fax:973-290-7518
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12130000207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology